Medical Content Analyst - Healthcare Coding & Claims

Magnum Transaction Sub Philippines, LLC.; Manila; On-site; PHP 4,383,000 - 6,262,000; Full time

Job summary

Lyric is a healthcare decision intelligence leader enabling faster, more accurate payments through expert coding and policy guidance. The role requires researching coding authorities, entering clinical content into Lyric software, and maintaining source documentation for claims editing.

The ideal candidate holds a health information degree and relevant certifications, with at least one year in payer or billing roles.

Qualifications

• Bachelor’s degree in health information management, nursing or related healthcare field.
• AAPC CPC certification or AHIMA CCS-P/CCS certification required; apprentice status acceptable.
• Minimum 1 year of healthcare payer experience in payment/reimbursement or medical policy roles.
• Working knowledge of pre-payment editing, payment policies and payment integrity.
• Must be proactive, able to work independently with minimal direction.
• Understanding of US health insurance payers: Commercial, Medicare, Medicaid.

Responsibilities

• Research Medicare, Medicaid, Specialty Society, and other publications to locate coding guidelines.
• Enter clinical content into Lyric software accurately per processes.
• Identify code set and guideline updates by comparing docs against existing content.
• Stay informed about routine code set updates and medical coding requirements.
• Support cross-functional teams by sharing researched coding and billing information; escalate complex questions.
• Validate and maintain source documentation for claims editing.

Skills

Communication skills

Analytical skills

Microsoft applications

Independence

Education

Bachelor’s degree in health information management

AAPC CPC certification

AHIMA CCS-P/CCS certification

Tools

Coding software

Job description

Lyric is a healthcare decision intelligence leader enabling faster, more accurate payments through expert coding and policy guidance. The role requires researching coding authorities, entering clinical content into Lyric software, and maintaining source documentation for claims editing.

The ideal candidate holds a health information degree and relevant certifications, with at least one year in payer or billing roles.